# ROCK SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942748793
- **Authorized official:** MRS. DONNA DRERUP (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (817) 875-7336

## Contact information

- **Practice address:** 1101 N. ROCK RD., BLDG 2, DERBY, KS 67037-3750
- **Practice address phone:** (316) 771-9999
- **Mailing address:** 1180 ADAMS LN, SOUTHLAKE, TX 76092-8501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2017
- **Last updated:** 02/01/2017